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International

                                                                         Journal of Bioprinting



                                        RESEARCH ARTICLE
                                        Bioprinted autologous human skin equivalents

                                        for in vitro testing of therapeutic antibodies



                                        Mahid Ahmed , David Hill , Shaheda Ahmed , Stefan Przyborski , Kenneth
                                                               3,4
                                                    1,2
                                                                                                 5,6
                                                                                2
                                        Dalgarno *, and Anne Dickinson 2,4
                                                1
                                        1 School of Engineering, Newcastle University, Newcastle upon Tyne, NE3 1PS, United Kingdom
                                        2 Alcyomics Ltd., The Biosphere, Draymans Way, Newcastle Helix, Newcastle upon Tyne, NE4 5BX,
                                        United Kingdom
                                        3 Faculty of Health Sciences and Wellbeing, Sunderland University, Sunderland, SR1 3SD, United
                                        Kingdom
                                        4 Translational & Clinical Research Institute, Faculty of Medical Science, Medical School, Newcastle
                                        University, Newcastle upon Tyne, NE2 4HH, United Kingdom
                                        5 Department of Bioscience, Durham University, South Road, Durham, DH1 3LE, United Kingdom
                                        6 Reprocell Europe Ltd., NETPark Plexus, Thomas Wright Way, Sedgefield, Co. Durham, TS21 3FD,
                                        United Kingdom



                                        Abstract

                                        In recent years, advances in tissue engineering have brought forward the accessibility
                                        of human skin equivalents for in vitro applications; however, the availability of human-
                                        based engineered tissue models suitable for high-throughput screening of biologics
                                        remains limited.  Here, we report a method of manufacturing fully autologous (with
                                        both fibroblasts and keratinocytes from the same donor) human skin equivalents
            *Corresponding author:
            Kenneth Dalgarno            for determining preclinical therapeutic antibody adverse immune reactions in vitro.
            (kenny.dalgarno@newcastle.ac.uk)  Using a combination of precise solenoid microvalve-based bioprinting and 96-well
            Citation: Ahmed M, Hill D,    scale Alvetex inserts, autologous skin cells were bioprinted and cultured to develop
            Ahmed S, Przyborski S, Dalgarno K,  a scalable  approach to  manufacturing  skin equivalents.  We  demonstrated that
            Dickinson A. Bioprinted autologous   fibroblasts and keratinocytes can be bioprinted with a high degree of precision while
            human skin equivalents for in vitro
            testing of therapeutic antibodies.    maintaining viability post printing. Histological staining showed that the bioprinted
            Int J Bioprint. 2024;10(2):1851.   96-well based skin equivalents were comparable to human skin. The fully autologous
            doi: 10.36922/ijb.1851      human skin equivalents were co-cultured in vitro with autologous peripheral blood
            Received: September 17, 2023  monocytes with and without muromonab-CD3 (OKT3) and natalizumab (Tysabri),
            Accepted: January 10, 2024  biologics which are known to cause and inhibit adverse immune reactions (type
            Published Online: March 11, 2024
                                        IV hypersensitivity), respectively. Analysis of supernatants from skin-equivalent
            Copyright: © 2024 Author(s).   monocyte co-cultures revealed significant proinflammatory cytokine responses
            This is an Open Access article   (such as interferon gamma) in co-cultures treated with OKT3 when compared to
            distributed under the terms of the
            Creative Commons Attribution   Tysabri and negative controls. Consequently, this study provides proof of concept
            License, permitting distribution,   that through a combination of bioprinting and Alvetex scaffold-based culture
            and reproduction in any medium,   systems, scalable human skin equivalents can be manufactured for high-throughput
            provided the original work is
            properly cited.             identification of adverse immune reactions during preclinical stages of the drug
                                        development process.
            Publisher’s Note: AccScience
            Publishing remains neutral with
            regard to jurisdictional claims in
            published maps and institutional   Keywords: Autologous tissue models; Skin-equivalent models;
            affiliations.               Microvalve bioprinting; Transwell culture





            Volume 10 Issue 2 (2024)                       476                                doi: 10.36922/ijb.1851
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